Related Experiment Video
Updated: Jul 4, 2026

CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
[Quality of life in children with obstructive sleep apnea after adenotonsillectomy]
Begzada Hasukić1, Fuad Brkić, Adnan Kapidzić
1Klinika za otorinolaringologiju cerviko i maksilofacijalnu hirurgiju, UKC Tuzla. shasukic@bih.net.ba
Insights
Adenotonsillectomy significantly improves the quality of life for children with obstructive sleep apnea (OSA). This surgical procedure effectively reduces sleep disturbances and improves overall well-being in pediatric patients.
Area of Science:
- Otolaryngology
- Pediatric Sleep Medicine
- Quality of Life Research
Context:
- Obstructive sleep apnea (OSA) is a prevalent condition in children, often linked to enlarged tonsils and adenoids.
- Pediatric OSA affects 1-3% of preschool and school-aged children, impacting their daily lives.
- Assessing quality of life is crucial for understanding the comprehensive effects of OSA in children.
Purpose:
- To evaluate the impact of adenotonsillectomy on the quality of life in children diagnosed with obstructive sleep apnea.
- To compare quality of life metrics before and after surgical intervention for pediatric OSA.
Summary:
- A prospective study involving children with OSA undergoing adenotonsillectomy was conducted.
- The OSA-18 quality of life survey was utilized to assess changes in sleep disturbance, physical suffering, emotional distress, daytime problems, and caregiver concerns.
- Significant improvements were observed across all measured domains post-adenotonsillectomy.
Impact:
- Adenotonsillectomy leads to a statistically significant enhancement in the quality of life for pediatric patients suffering from OSA.
- The surgical removal of enlarged tonsils and adenoids effectively alleviates symptoms and improves overall well-being in children with OSA.
- This study underscores the importance of adenotonsillectomy as a treatment for improving pediatric quality of life in cases of OSA due to adenotonsillar hypertrophy.
Unlabelled:
Obstructive sleep apnea (OSA) caused by enlarged tonsils and adenoids is common in pediatric population. The prevalence of pediatric obstructive sleep apnea syndrome has been estimated to be between 1% and 3% in preschool and school-aged children. The aim of this study was to examine quality of life in children before and after adenotonsillectomy.
Subjects And Methods:
This study was prospective and it was carried out in the period from mid-November 2005 to end-June 2006. Specific exclusion criteria were: no existing of OSA, neuromuscular disorders, constitutional maxillofacial anomalies, septal deviation, mental retardation, obesity (BMI > 30). Anamnesis was taken from parents or caregiver, each child was examined from ENT specialist, Pediatar and Anestesiolog. The adenoid size was estimated by palpation or/and X-ray examination of nasopharynx. The tonsils size was estimated by Brodsky scala. OSA-18 quality of life survey was used to estimate improvement of quality of life after adenotonsillectomy. The children that had asserted symptoms of OSA by OSA-18 quality of life survey, were analyzed by this survey 5 weeks after surgery. The results before and after surgery were compared. The adenotonsillectomy was done with standard operation technique at our ENT department (cold dissection using termocauter), and comprehends removal palatinal tonsils and adenoids, that are removed by adenotom with uniform anestesiology protocol.
Results:
At 13 patients (43.3%) undergone adenotonsillectomy, OSA had a small impact on quality of life, at 11 (36.7) patients had a moderate impact and at 6 (20%) patients had large impact. Statistical significant improvement of quality of life after adenotonsillectomy was found in all domains using OSA-18-QOL survey: sleep disturbance (P < 0.0001), physical suffering (P < 0.0001), emotional distress (P < 0.0001), daytime problems (P = 0.0081) and caregiver concerns (P < 0.0001). The mean OSA-18-QOL total change score showed significant improvement of quality of life in patients suffering from OSA who undergone adenotonsillectomy.
Conclusion:
Adenotonsillectomy improves quality of life in children suffering from OSA caused by adenotonsillar hypertrophy.
Related Concept Videos
Sleep Apnea
The condition is more prevalent among...
Tonsillitis I: Introduction
Etiology
Three primary contributing factors have been identified.
Chronic Pharyngitis
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Tonsillitis II: Management
Suctioning the Oropharyngeal Airway
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
Suctioning the Nasopharyngeal Airway
Equipment Required
